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Thom Tillis

Thom Tillis

R NC · Senate

2025–Present Senate
2023–2025 Senate
2021–2023 Senate
2019–2021 Senate
2017–2019 Senate
2015–2017 Senate
Vote Date:
to

Defense

-49
Helped 808 Hurt 857 Unclear 662

Healthcare

+109
Helped 489 Hurt 380 Unclear 443

Finance

+27
Helped 431 Hurt 404 Mixed 1 Unclear 248

Energy

-99
Helped 227 Hurt 326 Unclear 124

Veterans Affairs

+231
Helped 388 Hurt 157 Unclear 88

Transportation

-196
Helped 129 Hurt 325 Unclear 146

Government Operations

-7
Helped 61 Hurt 68 Unclear 469

Agriculture

+96
Helped 285 Hurt 189 Unclear 110

Education

+4
Helped 207 Hurt 203 Mixed 1 Unclear 152

Sanctions

-57
Helped 218 Hurt 275 Unclear 18

Criminal Justice

+86
Helped 248 Hurt 162 Unclear 42

Environment

-31
Helped 115 Hurt 146 Unclear 146

Appropriations

+93
Helped 203 Hurt 110 Unclear 17

Housing

+106
Helped 203 Hurt 97 Unclear 14

Foreign Policy

-62
Helped 107 Hurt 169 Unclear 36

Trade

+1
Helped 137 Hurt 136 Unclear 30

Federal Budget

+162
Helped 207 Hurt 45 Unclear 36

Technology

+11
Helped 123 Hurt 112 Unclear 42

Immigration

-114
Helped 29 Hurt 143 Unclear 63

Labor

-9
Helped 60 Hurt 69 Mixed 2 Unclear 70
20 policy domains
Helped Hurt Mixed Unclear

Industry Impact Profile

13831 industry impacts

All entities →
How this is computed

P Primary sponsor · C Co-sponsor · Y Yea vote · N Nay vote

Weighted score (w:) uses strongest role per bill. Weights: Primary 1.0, Co-sponsor 0.3, Yea 0.1, Nay -0.1.

Bills where the legislator voted nay (without sponsorship) contribute -0.1 per bill. Equal yea and nay roll calls on the same bill contribute 0.

Vote date filters affect vote attribution; sponsorship is always included.

Positive-Effect Industries

Direct (1559), Veterans Affairs (117), Defense (93), DoD (33), Executive (22), VA (19), Legislative (17), USDA (16), Justice (14), Congress (12), Treasury (12), Agriculture (11), CMS (10), Judiciary (7), NPS (7), State (7), Oversight (6), Foreign Affairs (5), DOJ (4), Education (4), ICE (4), DHS (3), Legislative Branch (3), Transportation (3), Cemeteries (2), FDA (2), FEMA (2), Federal (2), HUD (2), Housing (2), Intelligence (2), Interior/USDA (2), International Development (2), Local (2), Military Logistics (2), NASA (2), SBA (2), SSA (2), State/Local (2), USPTO (2), DOD (1), Defense R&D (1), Executive Branch (1), HHS (1), Judicial (1), Manufacturing (1), Military Personnel (1), National Security (1)
Direct (328), Veterans (121), Military Families (16), Military (3), Foreign (2)
Direct (262), Research (15), Community (3), Tribal (3), Patients (1)
Direct (259), Naval (2), Testing (2), Ammunition (1), Ground Vehicles (1), Missiles (1), Missiles/Hypersonics (1), Nuclear C3 (1), Rotorcraft (1), Small Business (1), Small/Innovative (1), Space Systems (1)
Direct (210), HSA (7), HSA Administration (2), Custody Services (1), Life & Annuity (1), Professional Liability (1), Recordkeeping (1), Surety (1)
Direct (195), Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
Direct (161), Coffee (2), Commodities (2), Hemp (2), Livestock (2)
Direct (157), Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)

Negative-Effect Industries

Direct (1543), Veterans Affairs (70), Defense (65), EPA (22), Executive (18), Justice (12), Education (11), NPS (11), HHS (10), FDA (9), Agriculture (7), BLM (7), Forest Service (7), Foreign (5), Intelligence (5), Banking (4), CFPB (4), SBA (4), Treasury/IRS (4), VA (4), DHS (3), Emergency Management (3), Federal (3), GAO (3), HUD (3), Legislative (3), NOAA (3), NOAA/EPA (3), Oversight (3), SEC (3), Treasury (3), USDA (3), Acquisition (2), Congress (2), Courts (2), Defense Acquisition (2), Executive Branch (2), Judiciary (2), Military (2), Military Dependents (2), Military Personnel (2), USPTO (2), USTR (2), Veterans (2), Coast Guard (1), DoD (1), Energy/Defense (1), FDIC (1), Federal Reserve (1), Housing (1), Interior Department (1), Monetary Policy (1), NNSA (1), OCC (1), OMB (1), Regulatory Agencies (1), Space Force (1), State/Local (1), Strategic Command (1), U.S. Coast Guard (1), Waste Management (1)
Direct (200), Nuclear (2), Logistics (1), Maintenance (1)
Direct (147), Gender-Affirming Care (3), Family Planning Services (2), Public Health (2), Reproductive Health (2), Safety Net Providers (2)

Click any row to see supporting clauses

Showing positive and negative-direction effects only. Mixed and uncertain effects are not included in these counts.

Votes by Industry (Yea/Nay Alignment)

How this legislator's Yea/Nay votes landed across industries; distinct from overall bill exposure above.

Analysis coverage
100.0% of votes
Show vote-alignment table
S+ Supported Benefits
S- Supported Burdens
O+ Opposed Benefits
O- Opposed Burdens
Industry S+ S- O+ O- Net
Government (58 sub)
Sub-categories (total impacts, all buckets): Veterans Affairs (180), Defense (158), DoD (34), VA (23), EPA (22) +53 more
+146
General Public (5 sub)
Sub-categories (total impacts, all buckets): Veterans (141), Military Families (16), Military (3), Foreign (2), Taxpayers (1)
+243
Military (2 sub)
Sub-categories (total impacts, all buckets): Families (1), Space Force (1)
-2
Defense (14 sub)
Sub-categories (total impacts, all buckets): Naval (2), Nuclear (2), Testing (2), Ammunition (1), Ground Vehicles (1) +9 more
+1
Healthcare (8 sub)
Sub-categories (total impacts, all buckets): Research (15), Community (3), Gender-Affirming Care (3), Tribal (3), Family Planning Services (2) +3 more
+79
Education (4 sub)
Sub-categories (total impacts, all buckets): Child Care (3), Immigrant Students (1), Religious Studies (1), Technical (1)
+4
Construction (3 sub)
Sub-categories (total impacts, all buckets): Federal/Military (1), Military/Pacific (1), Utilities/Infrastructure (1)
+87
Taxpayers - -12
Agriculture (5 sub)
Sub-categories (total impacts, all buckets): Coffee (2), Commodities (2), Hemp (2), Livestock (2), Coffee Production (1)
+12
Immigration - +111
Transportation +29
Manufacturing (4 sub)
Sub-categories (total impacts, all buckets): Foreign (7), Electrical Equipment (2), Defense (1), Foreign Adversary (1)
+15
Financial Services (3 sub)
Sub-categories (total impacts, all buckets): HSA (7), HSA Administration (2), Transgender Individuals (1)
+17
State & Local Government (3 sub)
Sub-categories (total impacts, all buckets): Medicaid (6), Medicaid Programs (4), Non-Expansion (3)
+11
Energy (1 sub)
Sub-categories (total impacts, all buckets): Distributed Generation (1)
-20

Votes are cast on entire bills; attribution to individual clauses does not imply clause-level intent. Learn more

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Sponsored & Cosponsored Bills

s835-118

Cosponsor Introduced

To amend title 17, United States Code, to reaffirm the importance of, and include requirements for, works incorporated by reference into law, and for other purposes.

3 clauses Mar 16, 2023
Foreign Businesses Healthcare Consumers Scientific Research Federal Government

s822-118

Cosponsor Reported

To terminate the Department of Defense memorandum relating to access to abortions, to prohibit the use of travel and transportation allowances, medical convalescent leave, and administrative absences to travel to obtain abortions, and for other purposes.

8 clauses Mar 15, 2023
Federal Government - Military Personnel Federal Government - Executive Branch Civic & Social Organizations Federal Government - Military Dependents

s786-118

Cosponsor Introduced

To amend the Internal Revenue Code of 1986 to treat certain amounts paid for physical activity, fitness, and exercise as amounts paid for medical care.

1 clause Mar 14, 2023
Environmental Groups Healthcare Consumers Federal Government Native American Tribes

s716-118

Cosponsor Introduced

To extend title 42 expulsion authority, to resume border wall system construction, to preserve the exclusive authority of immigration judges over asylum claims, and to codify the Migrant Protection Protocols.

8 clauses Mar 8, 2023
Disaster Relief And Emergency Management Immigrant Communities National Security Homeowners

s711-118

Cosponsor Introduced

To require the Secretary of the Treasury to mint coins in commemoration of the invaluable service that working dogs provide to society.

4 clauses Mar 8, 2023
Healthcare Consumers Regulated Industries Veterans Federal Government

s665-118

Cosponsor Introduced

To provide incentives to physicians to practice in rural and medically underserved communities, and for other purposes.

5 clauses Mar 6, 2023
Environmental Groups Healthcare Consumers Education Agriculture

s624-118

Cosponsor Introduced

To amend title X of the Public Health Service Act to prohibit family planning grants from being awarded to any entity that performs abortions, and for other purposes.

2 clauses Mar 2, 2023
Healthcare Consumers Federal Government Consumers

s652-118

Cosponsor Introduced

To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes.

2 clauses Mar 2, 2023
Healthcare Consumers Federal Government Consumers Homeowners

s588-118

Cosponsor Introduced

To impose sanctions and other measures in response to the failure of the Government of the People's Republic of China to allow an investigation into the origins of COVID–19 at suspect laboratories in Wuhan.

1 clause Mar 1, 2023
Healthcare Consumers National Security Federal Government Homeowners

s614-118

Cosponsor Introduced

To codify the temporary scheduling order for fentanyl-related substances by adding fentanyl-related substances to schedule I of the Controlled Substances Act.

1 clause Mar 1, 2023
Healthcare Consumers Consumers

s537-118

Cosponsor Introduced

To preserve open competition and Federal Government neutrality towards the labor relations of Federal Government contractors on Federal and federally funded construction projects, and for other purposes.

2 clauses Feb 27, 2023
Environmental Groups Healthcare Consumers National Security Federal Government

s471-118

Cosponsor Introduced

To amend title XIX of the Social Security Act to allow for greater State flexibility with respect to excluding providers who are involved in abortions.

1 clause Feb 16, 2023
Healthcare Consumers Federal Government Consumers

s208-118

Cosponsor Introduced

To establish a procedure for terminating a determination by Surgeon General to suspend certain entries and imports from designated places.

1 clause Feb 1, 2023
Environmental Groups Healthcare Consumers National Security Federal Government

s133-118

Cosponsor Enrolled (Passed Congress)

To extend the National Alzheimer's Project.

5 clauses Jan 30, 2023
Federal Government - HHS Scientific Research Services Emergency Management Services Healthcare Recipients

s127-118

Cosponsor Reported

To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.

31 clauses Jan 26, 2023
Pharmacies Health Insurance Pharmacy Benefit Management Federal Government

s113-118

Cosponsor Introduced

To require the Federal Trade Commission to study the role of intermediaries in the pharmaceutical supply chain and provide Congress with appropriate policy recommendations, and for other purposes.

7 clauses Jan 26, 2023
Healthcare Consumers Education Regulated Industries Federal Government

s79-118

Cosponsor Introduced

To amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes.

3 clauses Jan 25, 2023
Telecommunications Environmental Groups Healthcare Consumers Federal Government

s13-118

Cosponsor Introduced

To prohibit Federal funding of Planned Parenthood Federation of America.

3 clauses Jan 23, 2023
Environmental Groups Healthcare Consumers Scientific Research Federal Government

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Click an industry from the Impact Profile to view supporting clauses

Policy Mechanisms Used

Industry Focus Distribution